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https://www.readbyqxmd.com/read/28924984/body-image-and-nonsuicidal-self-injury-validation-of-the-body-investment-scale-in-participants-with-eating-disorders
#1
J H Marco, M Cañabate, J García-Alandete, G Llorca, M Real-López, M Beltrán, S Pérez
The Body Investment Scale (BIS) assesses body image feelings, body care, protection of the body, and comfort in touch, in order to identify and distinguish participants with self-harming and self-destructive tendencies. However, the psychometric properties of the BIS were not analysed in participants diagnosed with eating disorders. The main objective of the present study is to confirm the factor structure of the Spanish version of the BIS and analyse its psychometric properties in a sample composed of women diagnosed with eating disorders...
September 18, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28924278/main-predictors-for-repetition-of-suicidal-behaviour-among-women-referred-to-a-single-public-sector-tertiary-care-hospital-in-iran
#2
Babak Mostafazadeh, Esmaeil Farzaneh
OBJECTIVE: To assess the main predictors for repetition of suicidal behaviour among women. METHODS: This cross-sectional study was conducted at Loghman Hakim Hospital, Tehran, Iran, in 2014, and comprised women patients. The patients were divided into two groups, i.e. women repeating suicide and women without repeating suicide. Data was collected through a checklist and then analysed with SPSS 20. RESULTS: Of the 300 women, 121(40.3%) repeated suicide and 179(59...
September 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28921778/alcohol-e-help-study-protocol-for-a-web-based-self-help-program-to-reduce-alcohol-use-in-adults-with-drinking-patterns-considered-harmful-hazardous-or-suggestive-of-dependence-in-middle-income-countries
#3
Michael P Schaub, Marcela Tiburcio, Nora Martinez, Atul Ambekar, Yatan Pal Singh Balhara, Andreas Wenger, André Luiz Monezi Andrade, Dzianis Padruchny, Sergey Osipchik, Elise Gehring, Vladimir Poznyak, Dag Rekve, Maria Lucia Oliveira Souza-Formigoni
BACKGROUND AND AIMS: Given the scarcity of alcohol prevention and alcohol use disorder treatments in many low and middle-income countries, the World Health Organization launched an e-health portal on alcohol and health that includes a Web-based self-help program. This paper presents the protocol for a multicenter randomised controlled trial (RCT) to test the efficacy of the Internet-based self-help intervention to reduce alcohol use. DESIGN: Two-arm RCT with follow-up 6 months after randomisation...
September 17, 2017: Addiction
https://www.readbyqxmd.com/read/28921761/risk-factors-leading-to-increased-rehospitalization-rates-among-adolescents-admitted-to-an-acute-care-child-and-adolescent-psychiatric-hospital
#4
Logan McCarthy, Lisa M Pullen, Jennifer Savage, Jonathan Cayce
PROBLEM: Suicide is the third leading cause of death in adolescents in the United States, with suicidal behavior peaking in adolescence. Suicidal and self-harming behavior is often chronic, with an estimated 15-30% of adolescents who attempt suicide having a second suicide attempt within a year. The focus of acute psychiatric hospitalization is on stabilization of these psychiatric symptoms resulting at times in premature discharge. Finding from studies based on high rehospitalization rates among adolescents admitted to an acute psychiatric hospital indicates that adolescents continue to experience crisis upon discharge from an acute psychiatric hospital, leading to the question of whether or not these adolescents are being discharged prematurely...
September 18, 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28920523/the-social-consequences-of-stigma-related-self-concealment-after-acquired-brain-injury
#5
Barbara F Hagger, Gerard A Riley
Social relationships often decline after brain injury. Although much of this is due to psychosocial impairments caused by the injury, the reactions to the injury of others in the person's wider social network, along with the response of the person with the injury to those reactions, also need to be considered. Anxiety about stigmatising reactions from others may lead some to conceal information about their brain injury. This study investigated some of the social consequences of such concealment. Sixty-five participants with acquired brain injury completed the Anticipated Stigma and Concealment Questionnaire, the Social Avoidance and Distress Scale, the UCLA Loneliness Scale, the Rosenberg Self-Esteem Scale, the Social Integration subscale of the Community Integration Questionnaire, and the Enacted Social Support Questionnaire...
September 18, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28919670/the-moral-insignificance-of-self-consciousness
#6
Joshua Shepherd
In this paper, I examine the claim that self-consciousness is highly morally significant, such that the fact that an entity is self-conscious generates strong moral reasons against harming or killing that entity. This claim is apparently very intuitive, but I argue it is false. I consider two ways to defend this claim: one indirect, the other direct. The best-known arguments relevant to self-consciousness's significance take the indirect route. I examine them and argue that (a) in various ways they depend on unwarranted assumptions about self-consciousness's functional significance, and (b) once these assumptions are undermined, motivation for these arguments dissipates...
June 2017: Eur J Philos
https://www.readbyqxmd.com/read/28917069/knowledge-attitude-and-practice-of-antibiotic-use-and-misuse-among-adults-in-riyadh-saudi-arabia
#7
Nouf Al-Shibani, Abdulaziz Hamed, Nawaf Labban, Reem Al-Kattan, Hanan Al-Otaibi, Sara Alfadda
To assess the knowledge, attitude, and practice of antibiotics (ABs) use and misuse among adults living in Riyadh, Saudi Arabia. Methods: In this cross-sectional study, a self-administered questionnaire was distributed to participants from  March 2016 to January 2017 in the outpatient department of King Khalid University Hospital and Dental Hospital, King Saud University, Riyadh, Saudi Arabia. The questionnaire was divided into 4 sections. The first and second section inquired regarding demographic details and knowledge of ABs...
October 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28916013/the-emergency-department-challenges-and-opportunities-for-suicide-prevention
#8
REVIEW
Joan Rosenbaum Asarnow, Kalina Babeva, Elizabeth Horstmann
Emergency departments (EDs) can offer life-saving suicide prevention care. This article focuses on the ED and emergency services as service delivery sites for suicide prevention. Characteristics of EDs, models of emergency care, ED screening and brief intervention models, and practice guidelines and parameters are reviewed. A care process model for youths at risk for suicide and self-harm is presented, with guidance for clinicians based on the scientific evidence. Strengthening emergency infrastructure and integrating effective suicide prevention strategies derived from scientific research are critical for advancing suicide prevention objectives...
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28914115/knowledge-attitudes-and-perspective-on-adverse-drug-reaction-reporting-in-a-public-sector-hospital-in-south-africa-baseline-analysis
#9
Antionette Terblanche, Johanna Catharina Meyer, Brian Godman, Robert Stanley Summers
BACKGROUND AND AIMS: Adverse drug reactions (ADRs) can cause significant harm in patients; however, ADRs are under-reported in many countries, including South Africa, where evidence of a pharmacovigilance (PV) system to monitor and manage ADRs is a requirement for compliance with norms and standards for quality healthcare delivery. We conducted an analysis amongst health care professionals (HCPs) at Sebokeng Hospital to assess the situation there. METHODS: Data were collected using a structured self-administered questionnaire, targeting all medical practitioners, nurses, pharmacists and pharmacist assistants in the hospital...
September 15, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28914094/quality-assessment-of-economic-evaluations-of-suicide-and-self-harm-interventions
#10
Lizell Bustamante Madsen, Michael Eddleston, Kristian Schultz Hansen, Flemming Konradsen
BACKGROUND: Death following self-harm constitutes a major global public health challenge and there is an urgent need for governments to implement cost-effective, national suicide prevention strategies. AIM: To conduct a systematic review and quality appraisal of the economic evaluations of interventions aimed at preventing suicidal behavior. METHOD: A systematic literature search was performed in several literature databases to identify relevant articles published from 2003 to 2016...
September 15, 2017: Crisis
https://www.readbyqxmd.com/read/28913911/older-adults-awareness-of-deprescribing-a-population-based-survey
#11
Justin P Turner, Cara Tannenbaum
OBJECTIVES: To determine older adults' awareness of the concept of medication-induced harm and their familiarity with the term "deprescribing." Secondary objectives were to ascertain determinants of self-initiated deprescribing conversations and to identify how older adults seek information on medication harms. DESIGN: Cross-sectional population-based household telephone survey using random-digit dialling. SETTING: Canada. PARTICIPANTS: Community-dwelling adults aged 65 and older (N = 2,665; n = 898 men, n = 1,767 women, mean age 74...
September 15, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28912288/sometimes-not-always-not-never-a-response-to-pickard-and-pearce
#12
Patrick J Sullivan
This paper provides a response to Hanna Pickard and Stephen Pearce's paper 'Balancing costs and benefits: a clinical perspective does not support a harm minimisation approach for self-injury outside of community settings.' This paper responded to my article 'Should healthcare professionals sometimes allow harm? The case of self-injury.' There is much in the paper that I would agree with, but I feel it is important to respond to a number of the criticisms of my paper in order to clarify my position and to facilitate ongoing debate in relation to this important issue...
September 14, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28911915/risk-factors-of-compliance-with-self-harm-command-hallucinations-in-individuals-with-affective-and-non-affective-psychosis
#13
Jules R Dugré, Jean-Pierre Guay, Alexandre Dumais
Clinicians are often left with the difficult task of assessing and managing the risk of violent behaviors in individuals having command hallucinations, which may result in substantial rates of false positive or false negative. Moreover, findings on the association between command hallucinations and suicidal behaviors are limited. In an attempt to better understand compliance to this hallucinatory phenomenon, our objective was to identify the risk factors of compliance with self-harm command hallucinations. Secondary analyses from the MacArthur Study were performed on 82 participants with psychosis reporting such commands...
September 11, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28910214/outcome-trajectories-and-prognostic-factors-for-suicide-and-self-harm-behaviors-in-patients-with-borderline-personality-disorder-following-one-year-of-outpatient-psychotherapy
#14
Shelley F McMain, Skye Fitzpatrick, Tali Boritz, Ryan Barnhart, Paul Links, David L Streiner
This study examined suicide and self-harm trajectories in 180 individuals with BPD receiving dialectical behavior therapy or general psychiatric management in a randomized controlled trial. Suicide and self-harm behaviors were assessed at baseline, every four months throughout treatment, and every 6 months over 2 years of follow-up. Latent class growth mixture modeling identified suicide and self-harm trajectories. Multinomial logistic regression analyses examined baseline patient characteristics. Three latent subgroups were identified...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28905359/guideline-recommended-medications-and-physical-function-in-older-adults-with-multiple-chronic-conditions
#15
Gail McAvay, Heather G Allore, Andrew B Cohen, Danijela Gnjidic, Terrence E Murphy, Mary E Tinetti
BACKGROUND/OBJECTIVES: The benefit or harm of a single medication recommended for one specific condition can be difficult to determine in individuals with multiple chronic conditions and polypharmacy. There is limited information on the associations between guideline-recommended medications and physical function in older adults with multiple chronic conditions. The objective of this study was to estimate the beneficial or harmful associations between guideline-recommended medications and decline in physical function in older adults with multiple chronic conditions...
September 14, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28905358/prognosis-communication-in-late-life-disability-a-mixed-methods-study
#16
Theresa W Wong, Sean Lang-Brown, Rafael D Romo, Alvin Au-Yeung, Sei J Lee, Patricia J Moran, Jason Karlawish, Rebecca Sudore, Josephine Clayton, Alexander K Smith
IMPORTANCE: Long-term prognosis informs clinical and personal decisions for older adults with late-life disability. However, many clinicians worry that telling patients their prognosis may cause harm. OBJECTIVE: To explore the safety of and reactions to prognosis communication in late-life disability. DESIGN: Participants estimated their own life expectancy and were then presented their calculated life expectancy using a validated prognostic index...
September 14, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28905204/racial-vs-self-affirmation-as-a-protective-mechanism-against-the-effects-of-racial-exclusion-on-negative-affect-and-substance-use-vulnerability-among-black-young-adults
#17
Michelle L Stock, Frederick X Gibbons, Janine B Beekman, Kipling D Williams, Laura S Richman, Meg Gerrard
Affirming one's racial identity may help protect against the harmful effects of racial exclusion on substance use cognitions. This study examined whether racial versus self-affirmation (vs. no affirmation) buffers against the effects of racial exclusion on substance use willingness and substance use word associations in Black young adults. It also examined anger as a potential mediator of these effects. After being included, or racially excluded by White peers, participants were assigned to a writing task: self-affirmation, racial-affirmation, or describing their sleep routine (neutral)...
September 13, 2017: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28903745/acceptance-of-guidance-to-care-at-the-emergency-department-following-attempted-suicide
#18
W P H Dekker, A C M Vergouwen, M C A Buster, A Honig
BACKGROUND: Research, aimed at improving the continuity of care after hospital discharge following attempted suicide focuses on the effectiveness of the interventions. Little attention has been paid to patients who immediately decline guidance to advised post-discharge care. We aimed to identify differences between accepters and decliners of guidance to care (GtC) in relation to the characteristics of patients who presented at the emergency department (ED) of an urban hospital in the Netherlands after attempted suicide...
September 13, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28902418/cloninger-s-temperament-and-character-dimensions-of-personality-and-binge-drinking-among-college-students
#19
Fabien Gierski, Farid Benzerouk, Elodie De Wever, Theodora Duka, Arthur Kaladjian, Véronique Quaglino, Mickaël Naassila
BACKGROUND: Temperament and character dimensions of personality remain largely unexplored in young adults exhibiting binge drinking patterns. Moreover, the available studies do not consider gender differences, and dismiss possible personality heterogeneity among binge drinkers. In the present study, we aimed to compare temperament and character dimensions between young binge drinkers and age- and sex-matched social drinkers. We further applied cluster analysis to investigate the potential heterogeneity of personality patterns among binge drinking college students...
September 13, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28901916/using-trends-to-inform-regulatory-practices
#20
Christine Penney, Alison Wainwright
Health professions regulators charged with the role of public protection are challenged to balance their mandate with appropriate policy interventions, particularly within a self-regulatory model. Applied strategically, emerging methods and trends in health systems and health professions regulation can inform regulatory practices in keeping with the regulator's role of reducing harm to the public. This requires a shift in thinking from a focus on how (i.e., resources and tools), to a focus on what, including clear problem identification, intended risks to be mitigated and consideration of outcomes and measurability of impact at the outset...
2017: HealthcarePapers
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